Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | 425 | CA |
NPI | 1033500533 |
---|---|
Provider Name | Jennifer Oquendo |
First Address | Santa Margarita, CA 93453-9755 |
Second Address | Atascadero, CA 93422-3923 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/02/2015 |
Last Update Date | 05/02/2015 |